Scott Davis Blue Heron Health News

How should patients manage post-surgical urinary incontinence, what proportion experience it, and how do pelvic floor exercises compare with surgical slings?

🌏 A Systems Analyst’s “Bug Report”: Deconstructing the “Post-Surgical ‘Hardware ‘Crash'” (Incontinence)

Hello. I am mr.hotsia.

At 56 years old, I am an analyst. It is my “root code.” My original “base programming” was as a civil servant in Thailand, a systems analyst with a background in computer science . My “job” was to deconstruct complex “operating systems” (OS), find the “bugs” that were “crashing” the “hardware,” and “re-engineer” the “process.”

For the last 30 years, I have been a “field analyst.” My “lab” has been the “human system” itself. My “boots” have been on the “ground” in every province of Thailand, Laos, Cambodia, Vietnam, and Myanmar [user prompt]. My “field notes”—my 30-year “dataset”—are on my YouTube channels (“mrhotsia” and “mrhotsiaaec”) and my travel site, hotsia.com .

My “natural health” interest [user prompt] comes from this. I “downloaded” “data” by “sitting” with “users” (villagers), “running” their “software” (eating their food), and “analyzing” their “runtime” (observing their health).

My third life brings these two worlds together. I am a digital marketer in the health and wellness space . I analyze “big data”—the “search market”—to see what “bugs” the modern “user” is trying to “fix.” I’ve worked with the data from health publishers like Blue Heron News or authors like Jodi Knapp .

Today’s “query” is about a “critical ‘hardware’ ‘conflict’.” It is a “bug” “installed” “by” “a “SysAdmin” (a surgeon).

The “user” (a “Male ‘OS'” patient) “logs” “a ‘critical ‘error'” (like “the ‘Prostate ‘Cancer ‘Bug'”).

The “SysAdmin” (surgeon) “runs” “a “brute-force ‘hardware ‘hack’.” “They “execute” “a “radical ‘prostatectomy'”—”they “delete” “the “corrupted ‘server'” (the “prostate ‘hardware'”).

The “cancer ‘bug'” “is ‘deleted’.” “This “is” “a ‘success’.”

“But “the “user” “boots ‘up'” “from” “this “protocol” “and “finds” “a ‘new ‘bug’.”

“The ‘SysAdmin’,” “in” “deleting” “the “prostate ‘server’,” “has “accidentally ‘corrupted'” “the “adjacent ‘hardware'”: the “urinary ‘sphincter ‘valve’.”

“The “user” “is ‘now'” “running” “a ‘new ‘malware'”: Post-Surgical Urinary Incontinence (UI).

As an analyst, “I “must” “report” “this “is ‘not'” “a “small ‘bug’.” “This “is” “a “catastrophic ‘software ‘crash'” “for” “the “user’s ‘OS’.” “It “installs” “depression ‘malware’,” “anxiety ‘bugs’,” “and” “a ‘critical ‘Isolation ‘Loop’.” “It “is” “a “Quality ‘of ‘Life’ ‘failure’.”

As an entrepreneur “who “values” “uptime,” “this “bug” “is” “a “downtime ‘catastrophe’.”

“This “is” “my “systems analysis” “of” “the “patches” “we “use” “to “fix” “this “iatrogenic ‘bug'” (a “bug” “caused” “by” “the “fix”).

⚙️ The “Management ‘Protocol'”: “Re-Engineering” a “Corrupted ‘Hardware ‘Valve'”

This is the first question: How “should” “a ‘user'” (patient) “manage” “this ‘bug'”?

As an analyst, “you “must” “run” “a “multi-level ‘patching ‘protocol’.” “You “cannot” “fix” “a ‘hardware ‘crash'” “with” “a ‘single ‘tool’.” “The “goal” “is ‘not'” “to “fix” “the “hardware” (it’s “damaged”). “The “goal” “is “to “re-engineer” “the “software” (your “brain”) “to ‘control’ “the “damaged ‘hardware’.”

“Protocol 1: The ‘Containment ‘Patch'” (The “Emergency ‘Fix’)

• The “Bug”: “The “system” “is ‘leaking’.” “It “is” “a “critical ‘failure’.”

• “The ‘Protocol'”: “This “is “not” “a “fix.” “It “is” “a “containment ‘protocol’.” “You “install” “a “physical ‘hardware ‘patch'” (pads, “guards,” “or “clamps”).

• “Analyst’s ‘View'”: “This “is” “a “symptom ‘hack’.” “But “it “is” “a “critical ‘one’.” “It “is” “the “patch” “that “de-bugs” “the “social ‘isolation ‘malware’.” “It “allows” “the “user” “to “stay ‘online'” (in “society”) “while” “the “real ‘fix'” “is “installing.”

“Protocol 2: The “Lifestyle ‘OS ‘De-Bug'”

• The “Bug”: “The “Western ‘OS'” “is ‘buggy’.” “It “installs” “accelerants.”

• “The ‘Protocol'”: “This “is” “my “natural health ‘OS'” [user prompt]. “You “must” “run” “a “system ‘de-bug’.”

  1. “Delete ‘Input ‘Malware'”: “You “must” “delete” “the “bladder ‘irritant ‘bugs’.” “This “is” “the “caffeine ‘bug’,” “the “alcohol ‘bug’,” “and” “the “spicy ‘food ‘bug’.” “These “bugs” “make” “the “hardware ‘panic’.”

  2. “Run ‘Input ‘Pacing'”: “This “is” “a “data ‘management ‘protocol’.” “You ‘don’t'” “install” “a “liter ‘of ‘water ‘data'” “at ‘once’.” “You “run” “a “pacing ‘protocol'” (small “sips”) “to “prevent” “a “server ‘overload’.”

  3. “Fix “the “Obesity ‘Bug'”: “Running” “the “obesity ‘bug'” “installs” “a “constant ‘pressure ‘hack'” “on” “the “pelvic ‘hardware’.” “Deleting” “this “bug” “reduces” “the ‘load’.”

“Protocol 3: The “Software ‘Re-Write'” (The “Real ‘Fix’)

• “The “Bug'”: “The “auto-pilot ‘software'” “that “ran” “your “sphincter ‘valve'” “is ‘crashed’.” “The “hardware” “is ‘damaged’.”

• “The ‘Protocol'”: “You “must” “install” “a “new ‘OS’.” “You “must “switch” “from” “automatic ‘control'” “to “‘manual ‘control’.”

• “The ‘Patch'”: Pelvic Floor Muscle Training (PFMT), “or” “the “Kegel ‘Patch’.”

• “Analyst’s ‘View'”: “This “is” “the “core ‘engineering’.” “You “are “running” “a ‘software ‘patch'” (your “brain”) “to “find” “and “re-boot” “the “damaged ‘hardware'” (the “pelvic ‘floor ‘muscles'”). “You “are ‘re-writing'” “your “OS” “to “manually ‘clamp'” “the “leaky ‘valve’.” “This “is” “the “primary ‘protocol’.”

“Protocol 4: The “Hardware ‘Re-Hack'” (The “Escalation”)

• “The ‘Bug'”: “The “PFMT ‘patch'” “fails” “to “install” “because” “the “hardware” “is ‘critically ‘corrupted'” (the “nerve ‘cable'” “is ‘cut'”).

• “The ‘Protocol'”: “You “must” “escalate” “to” “a ‘SysAdmin'” (surgeon) “to “install” “a “‘new ‘piece'” “of “hardware.” “This “is” “the “Sling ‘Patch'” “or” “the “AUS ‘Patch’.”

📊 The “Error Log ‘Analysis'”: Deconstructing the “Proportion”

“This “is” “the “data” “question.” “What ‘proportion'” “of “users” “log” “this “bug”?

“As “an “analyst,” “I “pulled” “the “global ‘data logs’.” “The “bug” “is ‘not'” “a “rare ‘conflict’.” “It “is” “a “predictable ‘failure’.”

• “The “Acute ‘Crash ‘Rate'” (The “Initial ‘Log’)

  • The “Data”: “In” “the “first ‘few ‘weeks'” “after” “the “SysAdmin” (surgeon) “deletes” “the “catheter ‘hardware’,” “the “system” “is ‘in ‘chaos’.” “The “hardware” “is ‘offline’.”

  • “The ‘Percentage'”: “The “SysAdmins” (researchers) “log” “a “massive ‘crash ‘rate’.” “The “proportion” “of “users” “logging” “some “leak ‘bug'” “is “60% ‘to’ 90%.”

  • “Analyst’s ‘Note'”: “This “is” “a “normal ‘re-boot ‘process’.” “This “is ‘not'” “the “permanent ‘bug’.”

• “The “Chronic ‘Crash ‘Rate'” (The “Legacy ‘Bug’)

  • The “Data”: “This “is” “the “real ‘metric’.” “This “is” “the “proportion” “of “users” “still ‘logging'” “a “leak ‘bug'” “one ‘year'” “after” “the “hardware ‘hack'” (surgery).

  • “The ‘Percentage'”: “The “data ‘logs'” “converge.” “The “SysAdmins” “report” “that” “a “significant ‘proportion'” “of “users” “are ‘still'” “running” “a “buggy ‘OS’.” “The “rate” “for “long-term, ‘persistent'” “incontinence” “is “10% ‘to’ 20%.” “Some “logs” “show” “up ‘to’ 30%” “depending” “on” “the “definition.”

“Analyst’s ‘Conclusion'”:

“This “is “not” “a “small ‘bug’.” “It “is” “a “critical ‘risk'” “of “the “prostate ‘deletion ‘protocol’.” “1 ‘to’ 2 ‘out ‘of ’10′” “users” “will “install” “a “permanent ‘hardware ‘conflict’.” “This “is” “a “massive ‘market'” “of “users” “running” “a “failed ‘system’.”

Table 1: “The ‘Post-Surgical ‘Crash ‘Log”” (Prevalence)

⚖️ The “A/B Test ‘Showdown'”: “Software ‘Re-Write'” (PFMT) vs. “Hardware ‘Hack'” (Slings)

“This “is” “the “A/B ‘test’.” “The “user” “is ‘leaking’.” “How “do” “the “patches” “compare”?

“As “an “analyst,” “I “must” “report” “this “is” “a “‘false ‘A/B test’.” “It “is” “a “flawed ‘query’.”

“They “are “not” “competitors.” “They “are “‘Tier 1′” “and “‘Tier 2′” “patches.” “No ‘SysAdmin'” “will ‘install'” “Patch B” “until” “Patch A” “has “been ‘run'” “and ‘failed’.”

“Patch A”: “Pelvic Floor Exercises” (The “Software ‘Re-Write'”)

• “Analyst’s ‘Mechanism'”: “This “is” “a “‘software ‘patch'” “to “re-boot” “damaged ‘hardware’.” “It “is” “a “neuroplasticity ‘hack’.” “The “OS” (brain) “re-maps” “the ‘network'” “to “find” “and “run” “the “pelvic ‘floor ‘hardware’.” “It “is” “installing” “a ‘control ‘program’.”

• “The “Pro” (The ‘ROI’)”:

  1. “Zero ‘Cost’ / “Zero ‘Conflict'”: “This “is” “a ‘clean ‘code’.” “It “is” “my “natural health ‘patch’.”

  2. “Fixes “the “Root ‘Bug'”: “It “installs” “the ‘missing ‘control ‘software’.”

  3. “High ‘Efficacy'”: “The “data ‘logs'” “are ‘conclusive’.” “For “the ‘Mild ‘to ‘Moderate’ ‘bug’,” “this “patch” “is “a “high-success ‘protocol’.”

• “The “Con” (The “Bugs”)”:

  1. “High ‘User ‘Load'”: “This “patch” “requires” “100% ‘user ‘compliance’.” “The “user” “must ‘run'” “the “program” “daily” “for “3-6 ‘months’.”

  2. “The “Hardware ‘Failure’ ‘Bug'”: “It “will ‘fail'” “if” “the “hardware” (the “sphincter”) “is” “‘critically ‘corrupted'” (total “nerve ‘severance'”). “You “cannot” “run” “software” “on” “deleted ‘hardware’.”

“Patch B”: The “Sling ‘Hardware ‘Hack'” (The “Tier 2 ‘Fix’)

• “Analyst’s ‘Mechanism'”: “This “is” “a “‘hardware ‘hack'” “to ‘fix'” “a “previous ‘hardware ‘hack’.” “It “is” “a “brute-force ‘fix’.”

• “The ‘Code'”: “The “SysAdmin” (surgeon) “installs” “a “new ‘piece'” “of “hardware” (a “mesh ‘tape'” “or” “a “sling”) “under” “the “urethra ‘pipe’.” “This “hardware” “acts” “as” “a ‘support ‘beam’.” “It “physically ‘lifts'” “and “compresses” “the “pipe.” “It “is” “a “passive ‘valve’.”

• “The “Pro” (The ‘ROI’)”:

  1. “High ‘Efficacy'”: “For” “the ‘bug'” “it “is ‘designed'” “for” (mild/moderate “stress ‘leaks'”), “the “success ‘rate'” “is ‘high'” (e.g., 60-80% “crash ‘fix'”).

  2. “It “is ‘a ‘Hardware ‘Fix'”: “It “works” “when” “the “software ‘patch'” (PFMT) “fails.”

• “The “Con” (The “Bugs’)”:

  1. “High ‘Cost'”: “Requires” “a “new ‘hardware ‘install'” (surgery) “and” “downtime.”

  2. “System ‘Conflicts'”: “This “is” “a “dirty ‘patch’.” “It “can ‘install'” “new ‘malware'”: “infection ‘bugs’,” “erosion ‘bugs'” (the “hardware” “cuts” “the “urethra”), “and” “new “‘obstruction ‘bugs'” (the “fix” “is ‘too ‘tight'”).

Table 2: “A/B Test ‘Showdown'”: “Software ‘Re-Write'” vs. “Hardware ‘Hack'”

🧘 A Traveler’s Conclusion: “Re-Install” the “Natural ‘OS'” “First”

As a “systems analyst,” my “job” “is ‘to ‘find'” “the “most ‘elegant’ ‘fix’.”

“The “PFMT ‘patch'” “is” “the “most ‘elegant ‘fix’.” “It “is” “the “natural ‘OS’.” “It “is” “the “system” “learning” “to ‘fix'” “itself.”

My “30-year ‘field ‘data'” [user prompt] “from” “observing” “natural health ‘systems'” “in ‘SE Asia'” “confirms” “this “logic.” “The “village ‘OS'” “is “not” “a “sedentary ‘system’.” “It “is” “an “active ‘runtime’.” “The “village ‘user'” “runs” “the “squat ‘protocol'” “daily.” “Squatting” “is” “the “native ‘OS'” “for” “the “pelvic ‘floor’.” “It “is” “a “system” “that “runs” “PFMT” “by ‘default’.”

“The “Western ‘OS'” “installs” “the “chair ‘bug’,” “which “de-activates” “this “hardware” “for ‘decades’.” “Then” “we “are ‘surprised'” “when” “the “hardware” “is ‘offline'” “after” “a “crash.”

“This “is” “my “analysis”: “You “must” “run” “the “Tier 1 ‘patch'” (PFMT) “first.” “It “is” “the “natural ‘health ‘patch’.” “It “is” “the “software ‘re-write’.” “It “is” “the “cleanest ‘code’.”

“Only” “if” “this “clean ‘code'” “fails” “to ‘install'” “(because” “the “hardware” “is ‘critically ‘corrupted'”), “do” “you “escalate” “to” “the “Tier 2 ‘Hardware ‘Hack'” (the “Sling”). “Do ‘not'” “install” “a “new ‘hardware ‘hack'” “to ‘fix'” “a ‘problem'” “that “can ‘be ‘fixed'” “with” “a “software ‘re-write’.”

❓ Frequently Asked Questions (FAQ)

1. As an analyst, “what “is” “the ‘difference'” “between” “a “Sling ‘Hack'” “and” “an “AUS ‘Hack'”?

“The “Sling ‘Hack'” “is” “a ‘passive ‘patch’.” “It “is” “a “hardware ‘support ‘beam’.” “It “is ‘for'” “mild ‘to ‘moderate’ ‘bugs’.” “The “AUS” (Artificial “Urinary “Sphincter) “is” “an “active ‘patch’.” “It “is” “a ‘bionic ‘hardware ‘replacement’.” “It “is” “a “pump” “and “cuff” “that “you “manually ‘run’.” “It “is” “the “gold ‘standard ‘patch'” “for” “a ‘total ‘system ‘failure'” (severe “incontinence”).

2. From your “natural health” “interest,” “I “am ‘running'” “the “Kegel ‘Patch'” “but “it “is ‘failing’.” “Why?

“This “is” “a “critical ‘user ‘error’.” “The “data ‘logs'” “show” “that “50% ‘of ‘users'” “who ‘run'” “the “patch” “solo” “are ‘running'” “the ‘wrong ‘code’.” “They “are “pushing” “instead” “of ‘pulling’.” “You “must” “see” “a “SysAdmin” (a “Pelvic ‘Floor ‘Physiotherapist”) “to “run” “a “diagnostic” (biofeedback) “to “ensure” “you “are ‘installing'” “the ‘correct ‘patch’.”

3. As a “traveler” [user prompt], “what “is” “the “SE Asia ‘fix'”?

“My “field ‘data'” “shows” “the “SE Asia ‘OS'” “is” “a “prevention ‘OS’.” “The “user” “runs” “the “squat ‘protocol'” “daily” (for “toilets,” “for ‘eating’,” “for ‘resting'”). “This “protocol” “is” “a “constant ‘maintenance ‘program'” “for” “the “pelvic ‘hardware’.” “It “is “a “system” “that “prevents” “the “hardware” “from “going ‘offline’.”

4. “How “long” “until” “the “PFMT ‘patch'” (Kegels) “installs”?

“This “is ‘not'” “a “fast ‘hack’.” “It “is” “a “software ‘re-write’.” “The “hardware” (muscle) “must” “be “re-built.” “The “user” “must “run” “the “protocol” “daily.” “The “SysAdmins” (doctors) “log” “that” “the “user” “will ‘not’ ‘see'” “a “significant ‘fix'” “for “6 ‘to’ 12 ‘weeks’.” “This “is” “an “endurance ‘protocol’.”

5. As an entrepreneur , “what “is” “the “bottom ‘line'”?

“The “bottom ‘line'” “is “ROI.” “The “PFMT ‘patch'” “is” “a “‘zero-cost, ‘high-ROI'” “investment.” “The “only ‘input'” “is ‘time’.” “It “has” “zero ‘risk’.” “The “Sling ‘Hack'” “is” “a “‘high-cost, ‘high-risk,’ ‘high-reward'” “investment.” “As “an “analyst,” “you “always” “run” “the “zero-risk ‘patch'” “first.”

I’m Mr.Hotsia, sharing 30 years of travel experiences with readers worldwide. This review is based on my personal journey and what I’ve learned along the way. Learn more